HomeMy WebLinkAboutPermit Electrical 2000-06-07SPRINGFIELD
Job# 00-00892-01
COMMERCIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of2
Job Number: 00-00892-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 00000
Subdivision:
TRffNS$:01*000I05?
DATE:JUN O? ?OCIO
At'lT REID:I $ 40.00
IHANEE:$ 1.50
IASHIER:061
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 244 00006TH ST Spr
Assessors Map#: 00000000
Lot: Block: Addition
ctTY oF SPRfiNGFfiEL4 OREGOfi|
Owner: Dr. Dan Stambaugh
Address: 244 North 6th St
Scope Of Work: Commercial
extend circuit to handicap door
Phone Number:
City/State/Zip:
New
541-746-4417
Springfield, OR97477
Value: $O
Gontractor Type
ElectricalContr
Contractor Registration # Expiration Date
Burrell Bros.
40159 Booth Kelly Road, Springfield, OR
97478
Phone
541-747-2724
Quad Area:
# Of Units:
Gonstr. Type:
Water Heater:
office use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording a|726-3769. All inspections requested before 7:00 ' ' "l .
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day'
Required rnspections
-
, r
Electricat i
Rough Electrica! - Prior to cover.
Finat Electrical -When all electricalwork is complete. :
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?""Ndfletfd"rHtsprRUr
Units:
SHALL EXPIREIFTHEWORK
# Of Stories:
Current Units:
Census Code: Does not
Height (feet):
Area (Sq.
Main:AUTHORIZEDUNDER THTSPERMITISNOTAccessory:Total:
ANYlSODAYPERIOD
FOR
Job# 00-00892-01 Page 2 ol 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Branch Circuits WO Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
06/07/2000
06t07t2000
06/07/2000
2059
2059
2059
$35.00
$2.45
$1.05
$38.50
Grand Total
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employess who are in acompliance with ORS 701.055 will be used
on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each
address is readable from the stret, that the permit card is lcoated at the front of the property, and the
a set of plans will remain on the site at alltimes duri ng construction
Date
$38.50
(" - I -oc
1
CITY OF OREGON
The following Proiect as submitted has the
zonrng and does not
approval
require specific land use
Zoning LC
sP, -IELO
CAL PERHIT APPLICATION
$ 40.00
G-rco
225 PIFTE STREET Date
SPRINGFIEI,D' OREGON 97 4TAtuionzeo Srgnature
INSPECTI0N REQIIEST: 726-3769
OFFICE: 726-3759
1 OF T
LEGAL DESCRTPTION
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALT.ATION ONLY
Electrical contrac.ot ff^1 R"o5rrlll
ey+iTJ"t"T'ItT; t t" ho"d;c.p doo
Ci ty Job Nunberc>O -oo<? z
COHPLETE FEE SCffiDI.ILE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
rEach additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
SerVice or Feeder
s 8s.00
$ 1s.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
--401- amps to 600 amps
-
601 amps to 1000 amPs-
Over 1000 amps/voIts
-
Reconnect 0n1Y
*^)-ol
3
AY
Sum
Address D o {1
B
Rd
I
C
E
$ s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00
$ 40.
$ ss.
$ 80.
see ll
Ci ty Phone-7ql-A A
Supervisor License Number
Expiration Date l0-o / -o I
Constr Contr. Nrrmber
^ oo
U Temporary Services or Feeders
InstaLlaiion, Alteration or Relocation
200 amps''or less
201 amps to 400
Over 40L to 600
Over 600 amps or
amps _
amDs
1000 volts
00
00
00
Brt
Expiration Date
si gna ture of Supervising Electrician
rs Name
Address
Ci ty_--- Phone
OVNER INSTAII.,ATION
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent.
0nners Signature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
Each Additional
Circuit or vith Service
or Feeder Permit 00
Miscel-laneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.
Sign/0utline Lighting--s 40.
Limited Energy/Res $ 20.
Limited EnergY/Comm
One Circuit
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
I s 3s.oo
H
aEove
{(:l;I:l--I> -)----*-mcn
$2
cP
Ic:)C)Or.JGLtl..o
e-i
L-Z
RECETVED BI:
5
$g
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